Texas Wisdom Teeth Specialists
NPI 1134720337ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Fort Worth, TX
Dentist, Oral and Maxillofacial Surgery in Fort Worth, Texas, registered in NPPES in November 2020. The authorized official on file is Mark A. Benage, DDS, General Dentist.
Overview
| NPI | 1134720337 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2020 |
| Last updated in NPPES | Nov 9, 2020 |
| Certified by provider | Nov 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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